Prostate CancerPhase 3NCT00294437
ZOMETA® (Zoledronic Acid) for Prevention of Bone Metastases
A Phase 3 study testing Zometa in people with Prostate Cancer, run by Central European Cooperative Oncology Group at 57 sites in 16 countries.
Trial summary
To determine if therapy with Zometa® (zoledronic acid) 4mg will be effective in preventing the occurrence of bone metastases in prostate cancer patients at high risk of developing them. In addition, pain and analgesic scores and overall safety are to be evaluated throughout the study. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- Zometa
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 376 participants
- Where
- 57 sitesin 16 countries
- Study dates
- Dec 2003to Nov 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed informed consent
- Age > 18 years
- Histologically confirmed diagnosis of carcinoma of the prostate
- ECOG performance status of 0, 1, or 2
- No radiological evident bone metastasis (negative bone scan or verification of suspected foci as benign lesions by additional radiological examination)
- T3-4 AND highest pre-study PSA >20 ng/ml AND Gleason score = 8 (or Gleason grade = 4)
Show all 9Show fewer
- Patients with prior prostatectomy or prior local radiotherapy are eligible for this study
- Patients are destined to receive medical (LHRH analogue) or surgical (orchiectomy) castration and Zometa® treatment will start not later than 6 weeks after surgery
- Patients should be fully recovered from prior interventions where applicable
Who cannot join
- Patients with a serum creatinine determination >265 µmol/L (3.0 mg/dL)
- Patients that received prior medical (LHRH analogue) castration
- Current (or previous) evidence of metastatic disease to the bone
- History of any other neoplasm within the past five years except for nonmelanomatous skin cancer.
- Previous hormonal therapy with LHRH agonists or other forms of hormonal ablation
- WBC<3.0x109, ANC < 1500/mm3, Hgb<8.0 g/dL, platelets < 75 x 109/L
Show all 12Show fewer
- Liver function tests >2.5 ULN
- Prior treatment with Zometa® (zoledronic acid) or other bisphosphonates
- Treatment with calcitonin, mithramycin, or gallium nitrate within 2 weeks prior to the date of randomization (Visit 2)
- Use of other investigational drugs (drugs not marketed for any indication) within 30 days prior to the date of randomization (Visit 2)
- Patients with evidence in the six months prior to randomization of severe cardiovascular disease (defined as uncontrolled congestive heart failure), hypertension refractory to treatment, or symptomatic coronary artery disease uncontrolled by treatment
- History of noncompliance to medical regimens and patients who are considered potentially unreliable or incapable of giving informed consent as judged by the investigator.
Trial locations and contacts
57 sites in 16 countries.
57 sites in 16 countries
Austria7 sites
Thermenkh Baden, Urologie
Baden
LKH Graz Univ. Klinik f Urologie
Graz
LKH Innsbruck, Dept f. Urologie
Innsbruck
LKH Leoben, Abt. für Innere Medizin
Leoben, Styria, 8700
KH d Elisabethinen Linz, Dep of Urology
Linz
KH der Barmherzigen Schwestern, Dept Urologie
Linz
LKH Salzburg, Clinic f Radiotherapy a Radiooncology
Salzburg
Bulgaria7 sites
Plovdiv Cancer Center
Plovdiv, 4000
SBALO National Oncology Center
Sofia, 1527
SBALO National Oncology Center
Sofia
Sofia Cancer Center compl. Mladost ,
Sofia
MODOSZ Oncology Dispensary
Stara Zagora
Oncological Hospital
Varna
Modozs-Veliko
Veliko Tarnovo
Romania6 sites
P.D.R. Clinic
Brasov
Fundeni Hospital, Dep of Urology
Bucharest
Saint John Emergency Clinical Hospital
Bucharest
Institutul Oncologic Cluj
Cluj-Napoca, 400015
Emergency Clinical County Hospital , Clin Oncol. Dep
Craiova
University Hospital
Iași
Hungary5 sites
Dept. Of Urology , Jahn Ferenc Delpesti Hospital
Budapest
karolyi sandor Hospital, Dept of Urology
Budapest
Semmelweiss Univ of Medicine, Clinic of Urology
Budapest
Univ. of Pecs,Urologic Clinic
Pécs
Dept. Of Urology and Surgery
Szombathely
Serbia5 sites
Clinical Center of Serbia
Belgrade
Oncology Institute Belgrade
Belgrade
Oncology Institute
Belgrade
Institute for Oncology
Kamenitz
Clinical Center
Niš
Czechia4 sites
FH, Urological Clinic
Brno
Hospital Kromeriz, Dep of Urology
Kroměříž
FN Motol, Dep of Urology
Prague
Centre of Oncology
Ústí nad Labem
Poland4 sites
Centrum Onkologii Instytut
Krakow
Medical Academy
Szczecin
Central Rail Hospital,
Warsaw
Medical Academy
Warsaw
South Africa4 sites
Turret House
Claremont
Johannesburg Hospital Dep of Urology
Johannesburg
St. Annes Hospital
Pietermaritzburg
Urological Hospital
Pretoria
Croatia3 sites
Univ. Hospital, Dep of Pathophysiology
Split
GH, Dep Oncology and Reumatology
Varaždin
Clinical Hospital
Zagreb
Slovakia3 sites
FNsP - akad L. Derea Urology
Bratislava
FNsP Dep of Urology
Košice
FN sP Dep of Urology
Martin
Russia2 sites
Hertzen Research Oncological Institute
Moscow
Medical Radiological Research Center
Obninsk
Slovenia2 sites
University Clinical Center
Ljubljana
Gh, Dep of Urology
Maribor
About this study
Official title: Randomised Open-label Multicenter Prosp. Clinical Study to Show the Efficacy of IV ZOMETA® 4mg for Prevention of Bone Metastases in Hormone-naïve High Risk Patients With Locally Advanced Prostate Cancer
To determine if therapy with Zometa® (zoledronic acid) 4mg will be effective in preventing the occurrence of bone metastases in prostate cancer patients at high risk of developing them. In addition, pain and analgesic scores and overall safety are to be evaluated throughout the study.
Read the detailed description
This is a prospective, randomized, stratified open-label (Zometa + hormonal ablation versus hormonal ablation alone) multicenter clinical study evaluating the efficacy of Zometa 4mg given every 3 month as an adjunct to hormonal or surgical castration for prevention of bone metastases in locally advanced, high risk prostate cancer patients, who are hormone-naiv at time of randomization. the primary efficacy variable is the time to occurrence of first bone metastases.
Zometa® (zoledronic acid) provided as 4mg lyophilised powder Supplementation 500mg Calcium +400-500IU Vitamin D p.o. qd
Arm A:
Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months
Arm B:
no reference therapy
- Conditions
- Prostate Cancer
- Being tested
- Zometa
- Keywords
- Prostate Cancer, Zometa
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ZometaDrug
Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months
| Study group | Role | What they receive |
|---|---|---|
| zoledronic acid | Experimental | Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months Receives: Drug: Zometa |
| no intervention | No intervention | no reference therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to occurrence of first bone metastasis, as assessed by bone scan and confirmed by additional radiological examination
Secondary outcomes (7)
To assess the effects of i.v. Zometa® (zoledronic acid) 4 mg, with respect to the following efficacy parameters as well as safety and tolerability:
Effects on pain and analgesic drug consumption, assessed by the composite pain score from BPI (Brief Pain Inventory) for pain and by analgesic score
Time to first event of bone pain
Time to first occurrence of Skeletal Related Events (SREs), defined as pathologic bone fractures, spinal cord compression, surgery to bone, radiation therapy to bone (including the use of radioisotopes)
Proportion of patients in each arm having SRE
Serum PSA
Overall safety
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Feb 2006 (estimated)
- Study startDec 2003
- Primary completionDec 2003
- Study completionNov 2007
Why it stopped: underfunding
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 376 participants (actual)
Sponsor and investigators
- Lead sponsor
- Central European Cooperative Oncology Group
- Sponsor type
- University, hospital or other
- Investigators
- Bobak Djavan, Prof, Principal investigator, Univ. Klinik für Urologie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00294437
- Sponsor's protocol ID
- CECOG/prostate 1.2.001
- Status last verified
- Apr 2012
- First submitted
- 20 Feb 2006
- Last updated
- 1 May 2012
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised Open-label Multicenter Prosp. Clinical Study to Show the Efficacy of IV ZOMETA® 4mg for Prevention of Bone Metastases in Hormone-naïve High Risk Patients With Locally Advanced Prostate Cancer
- ClinicalTrials.gov ID
- NCT00294437
- Acronym / sponsor ID
- CECOG/prostate 1.2.001
- Conditions
- Prostate Cancer
- Keywords
- Prostate Cancer, Zometa
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: underfunding
- Enrolment
- 376 participants (actual)
- Lead sponsor
- Central European Cooperative Oncology GroupUniversity, hospital or other
- Study start
- Dec 2003
- Primary completion
- Dec 2003 (actual)
- Study completion
- Nov 2007 (actual)
- First posted
- 22 Feb 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To determine if therapy with Zometa® (zoledronic acid) 4mg will be effective in preventing the occurrence of bone metastases in prostate cancer patients at high risk of developing them. In addition, pain and analgesic scores and overall safety are to be evaluated throughout the study.
Detailed description
This is a prospective, randomized, stratified open-label (Zometa + hormonal ablation versus hormonal ablation alone) multicenter clinical study evaluating the efficacy of Zometa 4mg given every 3 month as an adjunct to hormonal or surgical castration for prevention of bone metastases in locally advanced, high risk prostate cancer patients, who are hormone-naiv at time of randomization. the primary efficacy variable is the time to occurrence of first bone metastases.
Zometa® (zoledronic acid) provided as 4mg lyophilised powder Supplementation 500mg Calcium +400-500IU Vitamin D p.o. qd
Arm A:
Zometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months
Arm B:
no reference therapy
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| zoledronic acid | Experimental | Drug: ZometaZometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months |
| no intervention | No intervention | –no reference therapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Signed informed consent
- Age > 18 years
- Histologically confirmed diagnosis of carcinoma of the prostate
- ECOG performance status of 0, 1, or 2
- No radiological evident bone metastasis (negative bone scan or verification of suspected foci as benign lesions by additional radiological examination)
Key exclusion criteria (12 listed)
- Patients with a serum creatinine determination >265 µmol/L (3.0 mg/dL)
- Patients that received prior medical (LHRH analogue) castration
- Current (or previous) evidence of metastatic disease to the bone
- History of any other neoplasm within the past five years except for nonmelanomatous skin cancer.
- Previous hormonal therapy with LHRH agonists or other forms of hormonal ablation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ZometaZometa® (zoledronic acid) in 100ml of calcium free solution i.v. as a 15 minute infusion every 3 months | Drug | zoledronic acid |
Primary outcome
Time to occurrence of first bone metastasis, as assessed by bone scan and confirmed by additional radiological examination
7 secondary outcomes
To assess the effects of i.v. Zometa® (zoledronic acid) 4 mg, with respect to the following efficacy parameters as well as safety and tolerability:
Effects on pain and analgesic drug consumption, assessed by the composite pain score from BPI (Brief Pain Inventory) for pain and by analgesic score
Time to first event of bone pain
Time to first occurrence of Skeletal Related Events (SREs), defined as pathologic bone fractures, spinal cord compression, surgery to bone, radiation therapy to bone (including the use of radioisotopes)
Proportion of patients in each arm having SRE
Serum PSA
Overall safety
Results and safety
The study was stopped early (reason given: underfunding). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2012.
- Related InfoLink provided by the sponsor.
Related trials for Prostate Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
Active, not recruitingObservational study
MRI Fusion Biopsy vs. Micro-Ultrasound Guided Biopsy
Prostate Cancer
Enrolling by invitationObservational study
Natural History Study of Early Life Exposures in Agriculture (ELEA)
Prostate Cancer, Leukemia
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
Recruiting
Rehabilitation and Sex Therapy to Optimize Recovery After Prostate Cancer Treatment
Prostate Cancer, Urinary Incontinence
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bobak Djavan, Prof principal investigator
Univ. Klinik für Urologie
57 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Zometa in people with Prostate Cancer, run by Central European Cooperative Oncology Group at 57 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 1 May 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 57 sites in Austria, Bulgaria, Romania, Hungary, Serbia and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: underfunding). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to occurrence of first bone metastasis, as assessed by bone scan and confirmed by additional radiological examination. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2012.